| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,244 |
4,337 |
$419K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,747 |
2,503 |
$323K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
131 |
131 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
120 |
$14K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
78 |
78 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
390 |
385 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
543 |
541 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
52 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
141 |
139 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
272 |
141 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$4K |
| 90686 |
|
299 |
299 |
$3K |
| 96127 |
|
315 |
293 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
141 |
141 |
$807.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$606.40 |
| 81002 |
|
128 |
121 |
$491.17 |
| 90734 |
|
24 |
24 |
$146.62 |
| 36415 |
Collection of venous blood by venipuncture |
1,104 |
1,062 |
$106.50 |
| 36416 |
|
72 |
68 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
17 |
$0.00 |
| 90461 |
|
19 |
19 |
$0.00 |